《内经》于痹论有云，其热者阳气多，阴气少。阳遭阴，故为热痹。盖脏腑壅热，复遇
风寒
防风丸 治热痹
防风（去皮） 羌活（去芦） 茯苓（去木） 牛膝（酒浸焙） 桂（去粗皮） 参 枳
壳（去瓤麸炒）
（焙一两） 磁石（煨
两） 上为末，炼蜜为丸，如
石南散 治热痹，肌肉热极，体上如鼠走，唇口反纵，皮肤色变，兼治诸风。
石南叶（浓醋炒） 山芋（各一两） 黄 （锉三分） 天雄（炮去皮脐一两） 山
茱萸（一两半）
砂（一分另研仍末一处石
分） 上为末，次入所研药拌匀，
升麻汤 治热痹
升麻汤 治热痹，肌肉热极，体上如鼠走，唇口反纵，皮肤色变及诸风，皆治之。
升麻（三两） 茯神（去木） 人参 防风 犀角（镑） 羌活（各一两） 官桂（去
皮半两） 上锉
生地黄汤 治热痹
生地黄（研取汁） 竹沥 荆沥（各一升） 羌活（去芦三两） 防风（去芦三两） 附
子（一枚重者
地黄汁、竹沥
治热痹腹中极热
细劈鳖肉，五味煮食之。当微泄，去一切毒瓦斯，除热痹腹中淋露，下淋血，散五脏结积
内热
《内经》谓风寒湿三气杂至，合而为痹。又曰以春遇此者为筋痹，又曰筋痹不已，复感
于邪
复
人参散 治肝痹气逆，胸胁引痛，眠卧多惊，筋脉挛急，镇肝去邪。
人参（二两） 酸枣仁（炒） 杜仲（去皮炒） 黄 （蜜炙） 茯神（去木各一两） 五
味子 熟地
除丹砂外同为散
细辛汤 治肝痹气虚，两胁胀，筋脉拘急，不得喘急，四肢少力，眼目不明
细辛（去苗叶） 防风（去皮） 白茯苓（去黑皮） 柏子仁（研） 山茱萸 桃仁（水
浸去皮尖双仁面炒令黄） 甘草（炙各二分） 蔓荆子（半两） 木瓜（一两） 枳壳（面
炒半两） 萆 五加皮（各一两） 上锉如麻豆，每服三钱，水一盏，大枣三枚，劈破同
煎数沸，去滓取七分温
防风汤 治肝痹头目昏塞，四肢不利，胸膈气烦
防风（去皮一两） 芎 黄 （锉） 五味子 人参 茯神（去木） 独活（去芦） 羚
羊角（镑
捣筛，每服三钱
补肝汤 治肝痹两胁下满，筋急不得太息，疝瘕四逆，抢心腹疼，目不明。
白茯苓（去皮一两二钱） 山茱萸 乌头（四枚去皮脐） 柏子仁（研） 薏苡仁 独
活（各半两）
皮） 细辛（去苗叶各
擘破同煎数沸，去滓取一盏服，不计时候。
牛膝汤 治肝痹筋挛，肢体不遂。
薏苡仁汤 治肝痹筋不利，拘挛急痛，夜卧多惊，上气烦满。
薏苡仁 羌活（去芦） 蔓荆子 荆芥穗（各二两） 白术 木瓜（去核） 防风（去
皮） 牛膝（
煎至一盏，去
茯神散（出《圣济总录》）治肝痹多惊悸，神思不安。
茯神（去木） 酸枣仁（炒） 黄 人参（各一两） 远志（去心） 熟地黄（焙） 五
味子（各半
研，每服一钱，
萆 丸（出《圣济总录》）治肝痹筋脉缓，去邪毒，调营卫。
萆 羌活（去芦） 天麻（酒浸焙各一两） 附子（炮去皮半两） 没药（研） 乳
香（研各一分）
下，日再。
补肝汤（出《圣济总录》）治肝痹，两胁下满，筋急不得太息，疝瘕四逆，
抢心腹痛，目不明。
白茯苓（去皮一两二钱） 乌头（四枚去皮脐） 蕤仁（研） 柏子仁（研） 防风（去
梢） 细辛（
豆大，入研药拌匀
候。
According to the *Neijing* (Inner Canon of the Yellow Emperor) in the chapter on Bi Syndrome, cases presenting with heat are characterized by an excess of Yang Qi and a deficiency of Yin Qi. When Yang encounters Yin, it results in Heat-Bi syndrome. This is generally due to internal stagnation and heat accumulation in the Zang-Fu organs, compounded by external contraction of Wind-Cold.
**Fangfeng Wan (Saposhnikovia Pill)**: Treats Heat-Bi.
Ingredients: Fangfeng (*Saposhnikoviae Radix*, peeled), Qianghuo (*Notopterygii Rhizoma et Radix*, radix removed), Fuling (*Poria*, woody part removed), Niuxi (*Achyranthis Bidentatae Radix*, wine-soaked and baked], Guizhi (*Cinnamomi Ramulus*, coarse bark removed), Renshen (*Ginseng Radix*), Zhike (*Aurantii Fructus*, pith and bran removed, stir-fried), Ci Shi (*Magnetitum*, roasted). The above ingredients are ground into fine powder, mixed with refined honey, and formed into pills the size of tung tree seeds.
**Shinan San (Rhododendri Daurici Powder)**: Treats Heat-Bi, characterized by extreme heat in the muscles, a sensation of insects crawling under the skin, retraction and laxity of the lips and mouth, changes in skin color, and also treats various wind disorders.
Ingredients: Shinanye (*Rhododendri Daurici Folium*, stir-fried with strong vinegar), Shanyu (*Dioscoreae Oppositae Rhizoma*, each 1 liang), Huangqi (*Astragali Radix*, cut into pieces, 3 fen), Tianxiong (*Aconiti Lateralis Radix Praeparata*, processed, peel and navel removed, 1 liang), Shanzhuyu (*Corni Fructus*, 1.5 liang), Zhusha (*Cinnabaris*, 1 fen, separately ground and then mixed with other powders). The ingredients are ground into powder; the separately ground Cinnabar is added and mixed uniformly.
**Shengma Tang (Cimicifugae Decoction)**: Treats Heat-Bi.
Shengma Tang treats Heat-Bi, where muscles feel extremely hot, there is a sensation of crawling under the skin, retraction and laxity of the lips and mouth, changes in skin color, and various wind disorders.
Ingredients: Shengma (*Cimicifugae Rhizoma*, 3 liang), Fushen (*Poria with Hostwood*, woody part removed), Renshen (*Ginseng Radix*), Fangfeng (*Saposhnikoviae Radix*), Xijiao (*Rhinocerotis Cornu*, sliced into flakes), Qianghuo (*Notopterygii Rhizoma et Radix*, radix removed, each 1 liang), Guanzi Gui (*Cinnamomi Cortex*, peeled, 0.5 liang). The ingredients are cut into pieces.
**Shengdihuang Tang (Rehmanniae Decoction)**: Treats Heat-Bi.
Ingredients: Shengdihuang (*Rehmanniae Radix*, crushed to extract juice), Zhuli (*Bambusae Caulis Succus*), Jingli (*Schizonepetae Caulis Succus*, each 1 sheng), Qianghuo (*Notopterygii Rhizoma et Radix*, radix removed, 3 liang), Fangfeng (*Saposhnikoviae Radix*, radix removed, 3 liang), Fuzi (*Aconiti Lateralis Radix Praeparata*, one piece, heavier ones selected).
[Note: The text mentions "Dihuang juice and Zhuli treat extreme heat in the abdomen caused by Heat-Bi".]
Cut turtle meat into fine pieces and boil/eat it with Wuwei Zi (*Schisandrae Chinensis Fructus*). Mild diarrhea should occur to expel all toxic vapors, relieve the dripping sensation of damp-heat in the abdomen caused by Heat-Bi, treat bloody dysuria, and dissipate internal heat accumulated in the five Zang organs.
The *Neijing* states that Wind, Cold, and Dampness mix together to cause Bi syndrome. It further states that encountering these pathogens in spring results in Jin-Bi (Tendon Bi). It also states that if Jin-Bi persists and is re-exposed to pathogens...
**Renshen San (Ginseng Powder)**: Treats Gan-Bi (Liver Bi) causing rebellious Qi, pulling pain in the chest and hypochondrium, frequent startles during sleep, and tendon spasm. It calms the Liver and expels evil.
Ingredients: Renshen (*Ginseng Radix*, 2 liang), Suanzaoren (*Ziziphi Spinosae Semen*, stir-fried), Duzhong (*Eucommiae Cortex*, peeled and stir-fried), Huangqi (*Astragali Radix*, honey-roasted), Fushen (*Poria with Hostwood*, woody part removed, each 1 liang), Wuweizi (*Schisandrae Chinensis Fructus*), Shudihuang (*Rehmanniae Radix Praeparata*). [Note: Text mentions excluding Dan Sha (Cinnabar) for this powder].
**Xixin Tang (Asari Decoction)**: Treats Gan-Bi with Qi deficiency, distension in both hypochondria, tendon spasm, difficulty breathing, weakness in the four limbs, and blurred vision.
Ingredients: Xixin (*Asari Radix et Rhizoma*, seedlings and leaves removed), Fangfeng (*Saposhnikoviae Radix*, peeled), Baifuling (*Poria*, black skin removed), Baiziren (*Platycladi Semen*, crushed), Shanzhuyu (*Corni Fructus*), Taoren (*Persicae Semen*, soaked in water, peel and sharp end removed, stir-fried until yellow), Gancao (*Glycyrrhizae Radix et Rhizoma*, honey-roasted, each 2 fen), Manjingzi (*Viticis Fructus*, 0.5 liang), Mugua (*Chaenomelis Fructus*, 1 liang), Zhike (*Aurantii Fructus*, flour-stir-fried, 0.5 liang), Bibi (*Dioscoreae Hypoglaucae Rhizoma*), Wujiaopi (*Acanthopanacis Cortex*, each 1 liang). Cut the ingredients like hemp seeds. Take 3 qian per dose, add 1 zhan of water and 3 dates (split), boil for a few boils, strain, and take 7/10 of the liquid warm.
**Fangfeng Tang (Saposhnikovia Decoction)**: Treats Gan-Bi causing dizziness and blockage in the head and eyes, impediment in the four limbs, and irritability in the chest and diaphragm.
Ingredients: Fangfeng (*Saposhnikoviae Radix*, peeled, 1 liang), Xiongqiong (*Ligustici Chuanxiong Rhizoma*), Huangqi (*Astragali Radix*, cut), Wuweizi (*Schisandrae Chinensis Fructus*), Renshen (*Ginseng Radix*), Fushen (*Poria with Hostwood*, woody part removed), Duhuo (*Angelicae Pubescentis Radix*, radix removed), Lingyangjiao (*Saigae Tataricae Cornu*, sliced into flakes). [Text continues: grind and sieve, take 3 qian per dose].
**Bugan Tang (Liver-Nourishing Decoction)**: Treats Gan-Bi causing fullness below both hypochondria, tendon spasm preventing deep sighing, hernia and mass formation, cold extremities, Qi rushing to the heart and abdomen causing pain, and blurred vision.
Ingredients: Baifuling (*Poria*, peeled, 1 liang 2 qian), Shanzhuyu (*Corni Fructus*), Wutou (*Aconiti Radix*, four pieces, peel and navel removed), Baiziren (*Platycladi Semen*, crushed), Yiyiren (*Coicis Semen*), Duhuo (*Angelicae Pubescentis Radix*, each 0.5 liang). [Text fragments suggest adding Xixin and boiling with split dates].
**Niuxi Tang (Achyranthes Decoction)**: Treats Gan-Bi causing tendon spasms and inability to move the limbs freely.
**Yiyiren Tang (Coix Decoction)**: Treats Gan-Bi causing tendon impediment, spasmodic pain, frequent startles at night, and rebellious Qi with irritability and fullness.
Ingredients: Yiyiren (*Coicis Semen*), Qianghuo (*Notopterygii Rhizoma et Radix*, radix removed), Manjingzi (*Viticis Fructus*), Jingjiesui (*Schizonepetae Spica*, each 2 liang), Baizhu (*Atractylodis Macrocephalae Rhizoma*), Mugua (*Chaenomelis Fructus*, pitted), Fangfeng (*Saposhnikoviae Radix*, peeled), Niuxi (*Achyranthis Bidentatae Radix*). [Text cuts off at "boil to 1 zhan, remove"].
**Fushen San (Poria Powder)** (from *Shengji Zonglu*): Treats Gan-Bi with frequent palpitations and mental unrest.
Ingredients: Fushen (*Poria with Hostwood*, woody part removed), Suanzaoren (*Ziziphi Spinosae Semen*, stir-fried), Huangqi (*Astragali Radix*), Renshen (*Ginseng Radix*, each 1 liang), Yuanzhi (*Polygalae Radix*, heart removed), Shudihuang (*Rehmanniae Radix Praeparata*, baked), Wuweizi (*Schisandrae Chinensis Fructus*, each half [unit missing]). Grind, take 1 qian per dose.
**Bibi Wan (Dioscorea Hypoglauca Pill)** (from *Shengji Zonglu*): Treats Gan-Bi causing flaccid tendons, expels toxic evils, and harmonizes Ying and Wei.
Ingredients: Bibi (*Dioscoreae Hypoglaucae Rhizoma*), Qianghuo (*Notopterygii Rhizoma et Radix*, radix removed), Tianma (*Gastrodiae Rhizoma*, wine-soaked and baked, each 1 liang), Fuzi (*Aconiti Lateralis Radix Praeparata*, processed, peel and navel removed, 0.5 liang), Moyao (*Myrrha*, ground), Ruxiang (*Olibanum*, ground, each 1 fen). [Text cuts off, likely indicating administration frequency: twice daily].
**Bugan Tang (Liver-Nourishing Decoction)** (from *Shengji Zonglu*): Treats Gan-Bi, fullness below both hypochondria, tendon spasm preventing deep sighing, hernia and masses, cold extremities, Qi rushing to the heart and abdomen causing pain, and blurred vision.
Ingredients: Baifuling (*Poria*, peeled, 1 liang 2 qian), Wutou (*Aconiti Radix*, four pieces, peel and navel removed), Ruiren (*Pruni Armeniacae Semen Amarum*, crushed), Baiziren (*Platycladi Semen*, crushed), Fangfeng (*Saposhnikoviae Radix*, tips removed), Xixin (*Asari Radix et Rhizoma*). [Text cuts off, mentioning mixing with ground medicine].